Differences in prevalence of dementia based on community survey andgeneral practitioner recognition
J.A. Eefsting
Bok Engelsk 1996
| Utgitt | 1996
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| Omfang | Side 1223- 1230
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| Opplysninger | A study was conducted, which simultaneously used GPs andepidemiological assessment procedures (MMSE, CAMDEX), to identifyindividuals with DSM-III-R dementia in the same population. Inaddition, a 1-year follow-up assessment was conducted in patientswith a CAMDEX-diagnosis of dementia. In the non-institutionalizedgroup, which was assessed both by the GP and with the epidemiologicaltest battery, the prevalence of dementia according to the GP was2.2%, whereas the prevalence based on the epidemiological approachamounted to 5.2%. In general CAMDEX-diagnoses of dementia wereconfirmed at 1-year follow-up, and thus the discrepancy between thetwo prevalence estimates must be attributed to the low sensitivity ofthe GPs. Sensitivity of the GP was related to help-seeking behaviour,with low sensitivity in patients with a low contact rate. It was alsorelated to the use of less specific diagnostic labels by the GP(cognitive impairment), and to poor recognition of cognitiveimpairment in patients who visited their GP.
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| Emner |
